|
-
Illustrations
-
Definition
-
Causes, incidence, and risk factors
-
Symptoms
-
Signs and tests
-
Treatment
-
Expectations (prognosis)
-
Complications
-
Calling your health care provider
-
Prevention
Illustrations
Male reproductive anatomy
Definition
Return to top
Chlamydial urethritis is a sexually transmitted disease involving infection of the urethra (the tube that drains urine from the bladder).
Causes, incidence, and risk factors
Return to top
Chlamydial urethritis is caused by a type of microorganism that lives as a parasite within human cells and has properties of both viruses and bacteria.
Chlamydia can cause nonspecific urethritis with a discharge from the penis and swollen testes. The symptoms can appear similar to gonorrhea infection but persist after treatment for gonorrhea. Chlamydia and gonorrhea often occur together.
Chlamydia is a common sexually transmitted disease in the US and abroad. Approximately 5 out of 10,000 men are affected annually. Risk factors include multiple sexual partners and sexual contact without condoms.
Different strains of chlamydia cause genital, eye, lymph node, and respiratory infections. Chlamydia is the most common cause of blindness in the world. A child born to a woman with a chlamydia infection of the cervix may develop an acute eye or lung infection.
Symptoms
Return to top
- Difficlty urinating
-
Painful urination
- Burning sensation during urination
- Discharge from the penis
- Testicular tenderness
- Redness, swelling of the opening of the urethra at tip of the penis
Signs and tests
Return to top
-
Urethral discharge culture or seminal fluid culture
- Monoclonal antibody test
Treatment
Return to top
The antibiotics doxycycline (100 mg twice a day for 7 days) or azithromycin (1 g as a single dose) are used to treat chlamydia infections. Patients with allergies may take ofloxacin or erythromycin base.
Both sexual partners must be treated for both gonorrhea and chlamydia to prevent passing the infections back and forth. Even partners without symptoms need to be treated. Both partners should also be screened for syphilis.
Expectations (prognosis)
Return to top
Antibiotic treatment is usually successful.
Complications
Return to top
Strictures (narrowing) of the urethra may occur. This may require surgical intervention to correct.
The infection may recur if compliance with therapy is not good, or if both sexual partners are not treated.
Calling your health care provider
Return to top
Call your health care provider if symptoms indicate a chlamydia infection may be present.
Prevention
Return to top
Having a monogamous sexual relationship with an uninfected partner is the best way to avoid this infection. The proper use of condoms during intercourse decreases the risk of infection.
|
